Laserfiche WebLink
I L f� t <br /> APPLICATION FEE $150. 00 CONDITIONAL PERMIT # )O3R ZONING/4/14%u, <br /> of /14%u, <br /> BURNETT COUNTY ZONING ADMINISTRATION <br /> BURNETT COUNTY GOVERNMENT CENTER <br /> 7410 Co. Rd. K, #102 Phone (715) 349-2138 <br /> Siren, WI 54782 <br /> *************************************************************************** <br /> COUNTY OF BURNETT CONDITIONAL PERMIT APPLICATION ZONING COMMII"rEE <br /> (I) (WE) OaU -. 1-, ;7 .- F / A) <br /> I- C q '.5')Cif ceo Pd N, Gde,6s er U 1 s SSI$9 3 6 3 5 - cj 2i/ 5' <br /> (Mailing Address) (Phone) <br /> Hereby make application to the Zoning Committee for a Conditional Permit for <br /> the following: ._1 <br /> �Y I uu FH Iry e lCA 1)e-m cc,t e- (.,t,Ce.- dill <br /> Comp 0 A8 -11/4-03 3/e <br /> Legal Description of Property Ptt S WI$U/ SE,-sw/ N w-SO t- 1.1)e'.6-tu! J((-110 -J y <br /> Fire # Q&599 Road Name ORd. H- <br /> Present Improvements Upon Land t-tal'rle , Ok-�lou;tilns� 41 eplait e ►-t-a�w�eh <br /> 7} Ir s-/-1-‘ 10 , V i <br /> Proposed Use PYIVde_ /4/ 1-- ,'ie--( . <br /> List Names and Addresses of adjoining property owners: <br /> I ROA) le +rak,( f- " ) SL-1 (p Ra A., '-pwNer els w 6.€/801 <br /> i Mike tue-`l int- foN - LQ, c g55 ( C,. , . l,uebsfet. Lj,6 54/03 <br /> ,/Pru40/v W k6cm husk - a g9a3 0.6 R3 N . uC.bS+€r u,s S t'ig 3 <br /> 1\1\)1' I\► Leori-&4A .; s ci , 16(e Rol.) ,Dan bu(y) Kir 511850" <br /> j--row NJ ev. i -- lcre►e; 01el le%) I1 Oi S)4es Pct., e ' VSU - C) <br /> **NOTE: A PLOT PLAN DRAWING SHOWING THE COMPLETE LOT LAYOUT WITH SETBACKS AND <br /> DIMENSIONS MUST ACCO ANY THIS I ATION** <br /> Applicant Signator ��,Gu� .//`//'. _ Date <br /> Action taken by Zoning Committee: 4 <br /> 3.3 <br /> od <br /> 1 <br /> 6- <br /> I <br /> Signed: C <br /> Secretary, Zoning Committee U <br /> 6 <br /> 8 <br />